Carol C Grant, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CT587 Issued in CT

Practice address

1601 Meriden-Waterbury TPK
Milldale, CT 06467-0792

Phone

(860) 620-9523

Fax

(860) 620-9628

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grant Chiropractic Healthcare Center LLC

  dba Carol C Grant DC

  • Neurology Chiropractor
  • Milldale, CT
  • NPI 1003995127
  NPD (past) Authorized official
• Neck & Back Pain Relief Center LLC

  • Chiropractor
  • Milldale, CT
  • NPI 1427528397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013038223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MERIDEN-WATERBURY TURNPIKE",
            "city": "MILLDALE",
            "state": "CT",
            "postal_code": "064670792",
            "telephone_number": "860-620-9523",
            "fax_number": "860-620-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MERIDEN-WATERBURY TPK",
            "city": "MILLDALE",
            "state": "CT",
            "postal_code": "064670792",
            "telephone_number": "860-620-9523",
            "fax_number": "860-620-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CAROL",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "CT587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "050000587CT04",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Shanel Brown-Caple
• Discovering New Heights Therapy
• Emily F Florian-Tynan, CNS APRN
• Denise J. Glabau, LMT
• Grant Chiropractic Healthcare Center LLC (Carol C Grant DC)
• Samantha Hunter
• Karen Hwang
• Interstate Chiropractic Shaw Robert N & E M Wagner PTRS
• John E. Rivera Jr., M.D., LLC (Southington Family Medical Center)
• John E. Rivera, M.D., P.C. (Southington Family Medical Center)

• Neurology Chiropractor in Milldale, CT
• Providers in Milldale, CT by specialty
• Neurology Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.